Comprehensive Community Services

NORTH CENTRAL REGION COMPREHENSIVE COMMUNITY SERVICES PROGRAM COORDINATION COMMITTEE November 14, 2023 Call Meeting to Order: The North Central Region Comprehensive Community Services Program Coordination Committee meeting was called to order by Chairperson, Cally Bucknell at 3:02 p.m. on November 14, 2023, via Zoom and in person in Taylor County. Voting Members Present: From Iron County: Cally Bucknell From Taylor County: Cody Miller, Scott Mildbrand, Catherine Taber From Sawyer County: Alicia Carlson From Price County: Chana Rymarkiewicz Voting Members Absent: Richard Austin, Brianna Thomas, Hailey Sands Others Present: Taylor Reinhardt NCR- CCS Administrator , Katie Voss , CCS Clinical Services Manager; Karlie Pierson, DHS; Joseph Bodo, Sawyer County; Rachel Loucks, contracted provider; Suzanne Stanfley, Director , Taylor County Human Services; Ashley Wilkinson, CCS Service Facilitator, Taylor County Human Services; Marisa Radloff, Administrative Assistant, Taylor County Human Services Participant Introduction/Attendance Recording: Completed and recorded as indicated above. Approve Agenda: Alicia Carlson motioned to approve the agenda of 6 items. Chana Rymarkiewicz seconded the motion. Motion carried. Public Comments: None. Review and Approve NCR -CCS 2024 CCS Plan and Policies : Mr. Reinhardt updated on the changes made to the NCR-CCS 2024 CCS Plan and Polices, questions were asked, discussion was had. Alicia Carlson motioned to approve the Review and Approval of the NCR-CCS 2024 CCS Plan and Policies. Cody Miller seconded the motion. Motion carried. Adjourn: A motion was made by Alicia Carlson to adjourn. Cody Miller seconded the motion. The motion carried. The meeting was adjourned at 3:17 p.m. The next meeting is scheduled for Tuesday, December 19, 2023, at 3:00 pm. Respectfully Submitted, Marisa Radloff, TCHSD Administrative Assistant NORTH CENTRAL REGION COMPREHENSIVE COMMUNITY SERVICES PROGRAM COORDINATION COMMITTEE October 17, 2023 Call Meeting to Order: The North Central Region Comprehensive Community Services Program Coordination Committee meeting was called to order by Chair Cally Bucknell at 3: 01 p.m. on October 17, 2023, via Zoom and in person in Taylor County. Voting Members Present: From Iron County: Cally Bucknell, Brianna Thomas From Taylor County: Catherine Taber, Cody Miller, Scott Mildbrand From Sawyer County: Alicia Carlson, Hailey Sands From Price County: Chana Rymarkiewicz Voting Members Absent: Richard Austin Others Present: Taylor Reinhardt NCR- CCS Administrator ; Katie Voss , CCS Clinical Services Manager; Karlie Pierson, DHS; Suzanne Stanfley, Director, Taylor County Human Services; Ashley Wilkinson, Service Facilitator, Taylor County Human Services; Jenn Arndt, Administrative Assistant, Taylor County Human Services; Melissa Steele, community member. Participant Introduction/Attendance Recording: Completed and recorded as indicated above. Approve Agenda: Alicia Carlson motioned to approve the agenda of 10 items. Brianna Thomas seconded the motion. Motion carried. Approve Minutes of the August 15, 2023, Meeting: Alicia Carlson motioned to approve the minutes from the August 15 , 2023 meeting. Scott Mildbrand seconded the motion . Motion carried. Public Comments: Melissa Steele introduced herself and expressed potential interest in joining the committee. 2023 Quality Improvement Plan: Mr. Reinhardt updated on the progress toward attaining goals identified on the 2023 Quality Improvement Plan. Mr. Reinhardt reported that the Mental Health Statistics Improvement Program surveys have been distributed. Surveys were first emailed to participants in August, followed by mailed copies in September, and now phone calls are being made. Mr. Reinhardt also updated that two Taylor County staff are trained and certified to provide DBT and LSS, a contracted provider, is set to start an adult DBT group. Taylor County Clinical Services Manager: Mr. Reinhardt introduced Katie Voss, APNP. Ms. Voss is temporarily filling the Clinical Services Manager position on a temporary basis due to staff resignation. The position is still posted. Review and Approve Waitlist Policy: Mr. Reinhardt presented the Waitlist Policy and Procedure for the NCR CCS Program. He highlighted that adult participants functionally eligible for CCS or adult participants referred for a MH/SUD Functional Screen to determine eligibility, may be added to a waitlist based on their date of referral. Children and youth participants determined eligible for CCS may also be placed on a waitlist and enrolled based on their date of referral. Participants may be expedited for enrollment based on crisis or urgent need . Alicia Carlson motioned to approve the Waitlist Policy and Procedure for the NCR CCS Program. Cody Miller seconded the motion. The motion carried with 8 ayes. County Updates: Taylor County: Mr. Reinhardt updated that Taylor County is in the process of hiring for the Service Facilitator vacancy. Taylor County is also working to introduce a new job description for employees working with dual enrollments (CCS/CLTS). Mr. Reinhardt anticipates that DQA will be conducting their onsite survey in December of this year, however, due to short staffing, the survey may be delayed until March of 2024. During this survey, the 2024 Quality Improvement Plan will be reviewed. If the survey is scheduled before the ne xt NCR CCS Coordination Committee meeting, a special meeting will be called to review and approve the 2024 NCR-CCS Plan. Sawyer County : Alicia Carlson updated that Sawyer County was contacted by a provider expressing interest in contracting with the NCR CCS Program. Mr. Reinhardt will contact the provider. Ms. Carlson also updated that they have 3 enrolled with 3 referrals in the begin ning stages of enrollment. Sawyer County is hoping to hire a part-time provider, one day per week, to offer more services to their consumers. Iron County : Ms. Bucknell reported that Iron County has 6 enrolled with a couple pending referrals. Price County: Ms. Rymarkiewicz reported that Price County has 3 enrolled with some pending referrals. Mr. Reinhardt asked how counties determine to enroll someone in CSP versus CCS. Ms. Bucknell explained how Iron County determines and Ms. Carlson explained how Sawyer County determines. Questions were asked and discussion was had. Mr. Mildbrand asked about the increase in youth referrals. Discussion was had and opinions were shared. Adjourn: A motion was made by Alicia Carlson to adjourn. Chana Rymarkiewicz seconded the motion. The motion carried. The meeting was adjourned at 3:27 p.m. The next meeting is scheduled for Tuesday, December 19, 2023 at 3:00 pm. Respectfully Submitted, Jenn Arndt, TCHSD Administrative Assistant NORTH CENTRAL REGION COMPREHENSIVE COMMUNITY SERVICES PROGRAM COORDINATION COMMITTEE August 15, 2023 Call Meeting to Order: The North Central Region Comprehensive Community Services Program Coordination Committee meeting was called to order by Vice Chair Scott Mildbrand at 3:01 p.m. on August 15, 2023, via Zoom and in person in Taylor County. Voting Members Present: From Iron County: Brianna Thomas From Taylor County: Cody Miller, Scott Mildbrand From Sawyer County: Hailey Sands From Price County: Chana Rymarkiewicz Voting Members Absent: Richard Austin, Catherine Taber, Cally Bucknell, Alicia Carlson Others Present: Taylor Reinhardt NCR- CCS Administrator; Laurie Hoffman, CCS Clinical Services Manager; Sarah Reese-Socha, Director, Price County Human Services; Karlie Pierson, DHS; Suzanne Stanfley, Director, Taylor County Human Services; Jenn Arndt, Administrative Assi stant, Taylor County Human Services Participant Introduction/Attendance Recording: Completed and recorded as indicated above. Approve Agenda: Chana Rymarkiewicz motioned to approve the agenda of 10 items. Cody Miller seconded the motion. Motion carried. Approve Minutes of the June 20, 2023, Meeting : Brianna Thomas motioned to approve the minutes from the June 20, 2023 meeting. Scott Mildbrand seconded the motion. Motion carried. Public Comments: None. 2023 Quality Improvement Plan: Mr. Reinhardt updated on the progress toward attaining goals identified on the 2023 Quality Improvement Plan. Mr. Reinhardt reported Quarter 2 (April 1-June 30) statistics as follows: As of April 1, 2023, there were 44 enrolled consumers; 3 consumers were enrolled during the reporting period; 7 consumers were discharged during the reporting period; 40 consumers were enrolled as of June 30, 2023. Mr. Reinhardt shared the results of the of the provider surveys that were returned. Of the 101 Service Provider surveys that were sent, 15 were returned. Of the 37 Service Facilitator surveys that were sent, 5 were returned. 85% reported positive remarks (Agree/Strongly Agree). Discussion was had about ways to elicit more engagement in the process for a better response from consumers. Suggestions included having a neutral third-party collect the responses in person, incentivizing the responses, offer the surveys at review times, and offer the surveys via electronic means. Physician Prescription: Mr. Reinhardt presented the proposed changes to the current Physician Prescription, which include: • Add Consumer Address • Change Physician Signature to Qualified Health Care Provider Signature • Change Printed Name of Physician to Printed Name of Provider • Change Physician License to Provider License • Change “The Physician must be a Medicaid -Enrolled Provider.” to “The Qualified Health Care Provider must be a Medicaid-Enrolled Provider.” • Remove “**Please note: if you are not an MD you must have an overseeing MD sign. It is a state requirement that this form be signed by an MD.” • Add “*A Qualified Health Care Provider maintains prescribing or ordering privileges, is operating within their legal scope of practice to prescribe psychosocial services and adheres to their profession-specific rules and statutes.” Questions were asked and discussion was had. Cody Miller motioned to approve the proposed changes to the Physician Prescription with the stipulation that the changes are agreed upon by the Executive Committee. Chana Rymarkiewicz seconded the motion. The motion carried with 5 ayes. Provider Updates: Mr. Reinhardt updated that there are two additional providers interested in providing services, Here Now to Help and United Cerebral Palsy of West Central Wisconsin. County Updates: Taylor County: Mr. Reinhardt updated that there are 9 adults on the waitlist for functional screens and 11 youth on the waitlist eligible for services. Iron County: Brianna Thomas reported that Iron County has recently discharged 1 consumer, they have 5 enrolled, and there are no pending referrals for functional screens. Sawyer County: Hailey Sands reported that Sawyer County has 3 consumers enrolled and has 1 pending referral. Price County: Ms. Rymarkiewicz reported there are no updates. Adjourn: A motion was made by Cody Miller to adjourn. Chana Rymarkiewicz seconded the motion. The motion carried. The meeting was adjourned at 3:27 p.m. The next meeting is scheduled for Tuesday, October 17, 2023 at 3:00 pm. Respectfully Submitted, Jenn Arndt, TCHSD Administrative Assistant NORTH CENTRAL REGION COMPREHENSIVE COMMUNITY SERVICES PROGRAM COORDINATION COMMITTEE June 20, 2023 Call Meeting to Order: The North Central Region Comprehensive Community Services Program Coordination Committee meeting was called to order by Chair Cally Bucknell at 3:02 p.m. on June 20, 2023, via Zoom and in person in Taylor County. Voting Members Present: From Iron County: Cally Bucknell, Brianna Thomas From Taylor County: Richard Austin, Cody Miller From Sawyer County: Alicia Carlson, Hailey Sands From Price County: Chana Rymarkiewicz Voting Members Absent: Scott Mildbrand, Catherine Taber Others Present: Taylor Reinhardt NCR- CCS Administrator; Laurie Hoffman, CCS Clinical Services Manager; Sarah Reese -Socha, Director, Price County Human Services; True Lor, DHS; Ashley Wilkinson, Service Facilitator, Taylor County Human Services; Sara Ruesch, Service Facil itator, Taylor County Human Services; Jenn Arndt, Administrative Assistant, Taylor County Human Services Participant Introduction/Attendance Recording: Completed and recorded as indicated above. Approve Agenda: Chana Rymarkiewicz motioned to approve the agenda of 11 items and Alicia Carlson seconded. Motion carried. Approve Minutes of the April 18, 2023, Meeting : Alicia Carlson motioned to approve the meeting minutes from the April 18, 2023 meeting and Chana Rymarkiewicz seconded. Motion carried. Public Comments: None. 2023 Quality Improvement Plan: Mr. Reinhardt updated on the progress toward attaining goals identified on the 2023 Quality Improvement Plan and provided a handout containing this content. Mr. Reinhardt explained that provider surveys have been sent out and the results will be brought to the next meeting in August. Mr. Reinhardt informed the committee that the 2nd quarter enrollment statistics will be reported at the next meeting. Taylor County currently has two staff members trained to provide DBT. He also shared that two contracted providers are currently being credentialed to provide Peer Support Services, Midstate Independent Living and Strides Equestrian Services. Omni Rule: Mr. Reinhardt provided an update regarding the recertification process for Chapter 36. An on-site visit for recertification is anticipated to occur by the end of 2023. Update to CCS Plan: Mr. Reinhardt went over updates to the North Central Region CCS Program Policy and Procedure document: • Page 5: Substance Abuse Professional for Taylor County and Price County, updated. • Pages 7 & 8: Current NCR-CCS Providers, updated. • Page 25: Coordinating Committee Procedure, updated. Alicia Carlson motioned to approve the Coordinating Committee Procedure and Chana Rymarkiewicz seconded. Motion Carried. • Pages 35-39: Service Facilitator Orientation Checklist, updated. • Pages 40-44: Service Provider Orientation Checklist, updated. • Pages 66 & 67: NCR-CCS Program Vendor List, updated. • Page 91: Consumer Moves Within the Region, updated. • Page 92: Psychotherapy Services Delivered Through CCS Program, updated. Alicia Carlson motioned to approve the North Central Region Comprehensive Community Services Program DHS 36 Plan and Policies. Chana Rymarkiewicz seconded. Motion Carried. Provider Updates: Mr. Reinhardt updated that there are no new provider referrals. Two providers have decided to cease providing fitness and yoga services. Two contracts were recently approved, Elmergreen Associates and Coram Counseling. County Updates: Taylor County: Mr. Reinhardt updated that Taylor County is now fully staffed. There are 8 adults on the waitlist and 17 youth on the waitlist. Mr. Reinhardt stressed the importance of attending these meetings if a voting member and to inform if unable so the committee can ensure there is a quorum. He encouraged everyone to have a voice and participate to help guide the committee. Iron County: Ms. Bucknell updated that she will be on family medical leave until the end of August, beginning of September. Sawyer County: Ms. Carlson reported there are no updates. Price County: Ms. Rymarkiewicz updated that Price County is looking to fill a Behavioral Health position. Adjourn: The meeting was adjourned at 3:25 p.m. The next meeting is scheduled for Tuesday, August 15, 2023 at 3:00 pm. Respectfully Submitted, Jenn Arndt, TCHSD Administrative Assistant NORTH CENTRAL REGION COMPREHENSIVE COMMUNITY SERVICES PROGRAM COORDINATION COMMITTEE April 18, 2023 Call Meeting to Order: The North Central Region Comprehensive Community Services Program Coordination Committee meeting was called to order by Chair Scott Mildbrand at 3:03 p.m. on April 18, 2023, via Zoom and in person in Taylor County. Voting Members Present: From Iron County: Cally Bucknell From Taylor County: Scott Mildbrand, Erin Meyer, Rachel Loucks, and Cody Miller From Sawyer County: Hailey Sands and Alicia Carlson From Price County: Chana Rymarkiewicz Voting Members Absent: Catherine Taber and Brianna Thomas. Others Present: Taylor Reinhardt NCR - CCS Administrator, Suzanne Stanfley Director, Taylor County Human Services, Laurie Hoffman, CCS Clinical Services Manager, Sarah Reese -Socha, Director, Price County Human Services, Jora Leahy, Aurora Provider, True Lor, DHS, Karlie Pierson, DHS, and Marisa Radloff TCHS Administrative Assistant Participant Introduction/Attendance Recording: Completed and recorded as indicated above. Approve Agenda: Rachel Loucks motioned to approve the agenda of 14 items and Erin Meyer seconded. The Motion carried. Approve Minutes of the February 21, 2023, Meeting : Discussion was had pertaining to amending the February 21, 2023, meeting minutes. Erin Meyer motioned to approve amended meeting minutes of the February 21, 2022, meeting and Rachel Loucks seconded. Motion carried. Public Comments: None were present. 2023 Quality Improvement Plan Mr. Reinhardt updated us on progress toward attaining goals identified on the 2023 Quality Improvement Plan and provided a handout containing this content. Mr. Reinhardt informed the committee that Taylor County currently has two staff members in training for DBT. He also shared that two contracted providers are currently being credentialed to provide Peer Support Services, Midstate Independent Living and Strides Equestrian Services. Quarterly enrollment statistics and hospitalization numbers for the region from quarter one was reported. NCR-CCS Desk Review: Mr. Reinhardt provided an update stating Taylor County will not be having an NCR -CCS Desk Review for 2022 as expected. Rather it’s anticipated DQA will simply request a certification renewal fee. An on -site survey for recertification is projected to occur in October 2023. Policy and Procedure o Psychotherapy Services Delivered Through CCS Program o Mr. Reinhardt stated this policy is being implemented due to the Forward Health provision which mandates that members enrolled in CCS must receive psychotherapy services though the CCS program. Psychotherapy can’t be reimbursed separately under any other Medicaid or Badger Care Plus Benefit. The intended purpose of this policy is to establish timelines and provide guidance for providers and CCS participants who are interested in seeking psychotherapy, at initial or continued enrollment. Erin Meyer made a mo tion to approve the Psychotherapy Services Delivered through CCS Program. Rachel Loucks seconded that motion. That motion carried. o Consumer Moves Within the Region o This standing policy was amended to better reflect county of responsibility and give more concise direction when consumers are transferring between counties within the region. Alicia Carlson made a motion to approve the Consumer Moves Within the Region Pol icy. Rachel Loucks seconded that motion. That motion carried. Informed Consent for Functional Screen: Mr. Reinhardt reviewed the Informed Consent for Functional Screen procedure with the committee, stating as of February 16, 2023, signatures are no longer required from the consumer. Erin Meyer made a motion to remove informed consent signature from the pr ocedure when completing a MH/SUD Functional Screen. Rachel Loucks seconded that motion. That motion carried. Updates to NCR-CCS Forms: o Admission Agreement o Mr. Reinhardt requested the approval of the Admission Agreement Form; The proposed paragraph pertaining to the exchange of information in which signed consent is not required to exchange participant confidential information with other CCS program staff members and providers who are under contract, was removed. Other updates pertaining to county hours of operation were updated. Questions were asked; discussion was had. Alicia Carlson made a motion to approve the Admission Agreement. Erin Meyer seconded that motion. That motion was carried. No further discussion. o Consumer Transfer Summary o Mr. Reinhardt reviewed the Consumer Transfer Summary form, providing a few updates on the form to align with the new policy. Alicia Carlson made a motion to approve the Consumer Transfer Summary. Rachel Loucks seconded that motion. The motion was carried. No further discussion. Committee Bylaws: In the review of the Committee Bylaws Mr. Reinhardt requested we make a change from 12 voting members down to 9 voting members. This was requested in review of Ch. 36, as we are not meeting statutory requirements. Mr. Reinhardt stated that committee membership currently constitutes one -third consumers and two -third MH/AODA providers and county employees. The proposed revision identifies that total membership shall be at least one - third consumers and no more than one-third of the total membership may be county employees or providers of mental health or substance abuse services. This would be a great way to involve more outside voices, family members, and interested parties. Mr. Rein hardt also explained how the Vice Chair position was removed from the Committee Bylaws and he is requesting that be put back in the language. Alicia Carlson made a motion to approve the Committee Bylaws. Rachel Loucks seconded that motion. That motion carried. In order to align with the new committee structure, nine voting members were identified and agreed upon by the committee. Mr. Reinhardt will submit the member’s name to the Taylor County Committee on Committees for appointment. Provided membership doesn’t meet current requirements, as individuals are recruited, others will be removed until compliance is met. Election of Officers: Per committee bylaws, election of a new Chairperson is required. Questions were asked and discussion was had. Cally Bucknell was nominated for Chair. Alicia Carlson made a motion to approve Cally Bucknell as the new Chair’s person. Erin Meyer seconded that motion. That motion was carried. Scott Mildbrand, previous chairperson, will step into the vice -chair position. County/Provider Updates: • Mr. Reinhardt provided an update for Taylor County; amending current policies for better accuracy, referrals have been steady, and their Case Managers are working steadily to reduce the waitlist. • Iron County- No update. • Sawyer County- Alicia Carlson gave an update for Sawyer County; she is in process with starting to connect a consumer with Lutheran Social Services; questions were asked, discussion was had. Ms. Carlson stated there are a few open positions that are looking to be filled as well, otherwise there are no other updates. • Price County- No update. Adjourn: Motion to adjourn by Erin Meyer, second by Alicia Carlson. Motion carried. The meeting was adjourned at 3:58 p.m. Respectfully Submitted, Marisa Radloff, TCHS Administrative Assistant AMENDED NORTH CENTRAL REGION COMPREHENSIVE COMMUNITY SERVICES PROGRAM COORDINATION COMMITTEE February 21, 2023 Call Meeting to Order: The North Central Region Comprehensive Community Services Program Coordination Committee meeting was called to order by Chair Scott Mildbrand at 3:00 p.m. on February 21, 2023, via Zoom and in person in Taylor County. Voting Members Present: From Iron County: Cally Bucknell From Taylor County: Scott Mildbrand, Erin Meyer, Rachel Loucks, and Cody Miller From Sawyer County: Hailey Sands and Alicia Carlson From Price County: Chana Rymarkiewicz Voting Members Absent: Terri Bollinger, Catherine Taber, and Brianna Thomas. Others Present: Taylor Reinhardt NCR - CCS Administrator, Suzanne Stanfley Director, Taylor County Human Services, Laurie Hoffman, CCS Clinical Services Manager, True Lor, DHS, Karlie Pierson, DHS, Ashley Wilkinson, CCS Caseworker and Marisa Radloff TCHS Administrative Assistant Participant Introduction/Attendance Recording: Completed and recorded as indicated above. Approve Agenda: Chana Rymarkiewicz motioned to approve the agenda of 14 items and Alicia Carlson seconded. The Motion carried. Approve Minutes of the December 20, 2022, Meeting : Rachel Loucks motioned to approve meeting minutes of the December 20, 2022, meeting and Erin Meyer seconded. Motion carried. Public Comments: None were present. 2023 Quality Improvement Plan Mr. Reinhardt updated us on the revised version of the 2023 Quality Improvement Plan and provided a handout containing this content. Erin Meyer motioned to approve the plan and Rachel Loucks seconded. The Motion carried. Mr. Reinhardt reviewed progress toward reaching program goals including review of the 2022 DHS Adult Satisfaction Survey. Based on results, Mr. Reinhardt requested suggestions for program improvement. Discussion was had regarding group therapy (DBT), to help client’s gain skills to regulate emotions and more effectively respond to crisis. Also discussed opportunities to promote client community engagement and inclusion. Mr. Reinhardt shared 4th quarter (October-December 2022) NCR -CCS regional enrollment and hospitalization statistics. Mr. Reinhardt also shared that he is working with Midstate Independent Living to expand Peer Support services. NCR-CCS Desk Review: Mr. Reinhardt stated there is no update at this time. Policy and Procedure o Psychotherapy Services Delivered Through CCS Program o Mr. Reinhardt stated this is being discussed amongst our region, further discussion will come with this at the next scheduled meeting in April. A handout containing this content was provided. o Consumer Moves Within the Region o This policy is currently being reviewed with transfers being amended and will be presented to the committee at the next scheduled meeting in April. Updates to NCR-CCS Forms: Mr. Reinhardt requested the approval of the Admission Agreement Form; Contents of this form include a paragraph pertaining to the exchange of information in which signed consent is not required to exchange participant confidential information with other CCS program staff members and providers who are under contract. Questions were asked; discussion was had. Updates for this form were recommended. Updates will be made based on feedback from DHS staff, Corporation Counsel, and NCR -CCS Administration . A revised Admission Agreement form will be provided by Mr. Reinhardt at the next scheduled meeting. Mr. Reinhardt also requested the approval of the Service Provider and Service Facilitator Orientation Checklists, which contained changes and condensed training and hours. A motion was made by Cally Bucknell to approve the Service Provider and Facilitator Orientation Checklists. Rachel Loucks seconded that motion. That motion was carried. County/Provider Updates: • Mr. Reinhardt provided an update for Taylor County; hired a new CCS caseworker (Ashley Wilkinson) who is orienting to her position but is progressively learning. Mr. Reinhardt updated us regarding a new mental health nurse practitioner and psychotherapist at Taylor County Human Services, who are in the process of being approved to provide CCS services. Mr. Reinhardt stated enrollment is doing well with 31 Taylor County residents enrolled and 7 referrals pending. • Iron County- Cally Bucknell provided an update stating there are 6 people enrolled and they have hired a new employee starting in the CST program first then working towards CCS and CLTS. • Sawyer County- Alicia Carlson updated us that they have 6 that are enrolled and/or in the enrollment process. Ms. Carlson stated there are a few open positions that are looking to be filled as well, otherwise there are no other updates. • Price County - Chana Rymarkiewicz stated there is a couple enrolled and working on enrolling more into programs. Ms. Rymarkiewicz updated us that in the behavioral health unit there is a new position open. Other Business: Discussion was had for next meeting’s agenda items. Request to include necessity of signed consent form for the MH/SUD functional screen. Schedule Next Meeting: Next meetings are scheduled for Tuesday, April 18 th, June 20 th, September 15th, October 17th, and December 19th at 3:00p.m. Adjourn: Motion to adjourn by Erin Meyer, second by Chana Rymarkiewicz. Motion carried. The meeting was adjourned at 3:54 p.m. Respectfully Submitted, Marisa Radloff, TCHS Administrative Assistant